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A federal judge has ruled that the federal law outlawing many types of surprise medical bills does not violate the constitutional rights of a New York surgeon.

The decision, issued Wednesday night by Judge Ann Donnelly in the federal Eastern District of New York, keeps billing protections intact for patients and quashes an attempt to kill a law that had overwhelming bipartisan support in Congress.

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The surprise billing legislation, called the No Surprises Act, keeps patients out of fights between out-of-network providers and health insurers. It also creates an independent arbitration process for aggrieved parties to hash out their payment disputes. The law has some loopholes, but in most circumstances, patients only owe in-network copays and can’t get blindsided with a balance bill from out-of-network providers at in-network hospitals.

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